Individual
TREVOR STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1913 OLMOS AVE, ALICE, TX 78332
(361) 765-8095
Mailing address
1913 OLMOS AVE, ALICE, TX 78332-4121
(361) 207-0666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209157
TX
224Z00000X
Occupational Therapy Assistant
209157
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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